摘要
目的探讨宫颈癌术后早期发生尿潴留(UR)的相关因素及有效的围手术期护理干预措施。方法选取妇科收治的临床分期为ⅠA2~ⅡA2行宫颈癌手术的103例患者为观察对象。围手术期给予相同的护理干预,回顾性分析宫颈癌术后早期尿潴留发生的相关因素。结果 103例宫颈癌术后患者中,40例出现术后尿潴留,发生率38.83%。单因素分析2组患者年龄、术中出血量、手术时间、手术方式、临床分期、是否行新辅助化疗与术后早期尿潴留的关系,分析示年龄、手术方式、临床分期均为尿潴留的危险因素(P<0.05)。结论宫颈癌术后早期尿潴留是多因素影响的一种暂时性膀胱功能障碍的表现,选择个体化的手术方式及强调三早,加强围手术期护理及出院后延续护理,控制尿路感染等是降低术后早期尿潴留的有效措施。
Objective To investigate the related factors of early postoperative urine retention(UR)of patients with cervical carcinoma and effective nursing intervention measures.Methods A total of patients with cervical carcinoma at stageⅠA2~ⅡA2 who were admitted and treated by surgery in our hospital from November 2014 to Decdember 2015 were enrolled in the study.These patients were treated by nursing intervention at perioperative period,and the the related factors with incidence of early postoperative urine retention were retrospectively analyzed.Results Among the 103 patients with cervical cancer after surgical treatment,40 patients had postoperative urinary retention,with incidence rate being 38.83%.The single factor analysis showed that patient’s age,operation mode and clinical stage were risk factors of urinary retention(P<0.05).Conclusion The early urinary retention after surgery in patients with cervical cancer is a transient form of bladder dysfunction that is affected by multiple factors.To select individualized surgical methods and emphasize on three early periods,to strengthen perioperative care and continuous care after discharge from hospital,and to control urinary tract infections are effective measures to reduce incidence of early postoperative urinary retention.
作者
康会霞
马俊英
冯宝杰
郭静
KANG Huixia;MA Junying;FENG Baojie(Department of Gynecology,The Fourth Hospital of Hebei Medical University,Hebei,Shijiazhuang 050011,China)
出处
《河北医药》
CAS
2018年第5期784-786,792,共4页
Hebei Medical Journal
基金
河北省科学技术研究与发展支撑计划项目(编号:132777204)
关键词
宫颈癌术后
尿潴留
护理
after surgery of cervical cancer
urinary retention
nursing intervention
